In the context of caring for a patient diagnosed with Crohn’s disease, which nursing assessment should be prioritized?

Altered mucus membranes

Fluid volume deficit

Nutrition

Skin integrity .

Answer and Explanation

The Correct Answer is C

Choice A rationale

While altered mucus membranes can occur in patients with Crohn’s disease, it is not typically the primary nursing assessment.

Choice B rationale

Fluid volume deficit can occur in patients with Crohn’s disease due to diarrhea, a common symptom of the disease. However, it is not typically the primary nursing assessment.

Choice C rationale

Nutrition should be prioritized in the nursing assessment for a patient diagnosed with Crohn’s disease. Malnutrition can occur due to decreased appetite, malabsorption of nutrients, and increased nutritional needs due to inflammation.

Choice D rationale

While skin integrity can be a concern in patients with Crohn’s disease, particularly those with fistulas, it is not typically the primary nursing assessment.

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Correct Answer is C

Explanation

Choice A rationale

A sweat test is used to diagnose cystic fibrosis, a genetic disorder that affects the lungs and digestive system. It is not used to diagnose pernicious anemia.

Choice B rationale

Haptoglobin is a protein produced by the liver that binds to hemoglobin in the blood to prevent it from being excreted through the kidneys. While it can be used to diagnose conditions that cause the destruction of red blood cells, it is not used to diagnose pernicious anemia.

Choice C rationale

The Schilling test is used to determine whether the body absorbs vitamin B12 normally, which is crucial for the diagnosis of pernicious anemia. Pernicious anemia is a condition where the body is unable to absorb vitamin B12 due to a lack of intrinsic factor, a protein made in the stomach.

Choice D rationale

Antinuclear antibodies (ANAs) are a type of autoantibody that can attack the body’s own tissues. While they can be present in various autoimmune diseases, they are not used to diagnose pernicious anemia.

A. Tell the couple that they need to have an abortion within 2 to 3 weeks. B. Discuss options with the couple including amniocentesis to determine if their fetus is affected. C. Refer the couple to a psychologist for emotional support. D. Explain that there is a 50% chance their baby will have the disorder.

Correct Answer is B

Explanation

Choice B rationale

When a couple is found to be carriers of an autosomal-recessive disorder, one of the actions the nurse can take is to discuss options with the couple, including amniocentesis to determine if their fetus is affected. This procedure can provide definitive information about the genetic status of the fetus, allowing the couple to make informed decisions about the pregnancy.

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In the context of caring for a patient diagnosed with Crohn’s disease, which nursing assessment should be prioritized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a patient who the healthcare provider suspects may have pernicious anemia.Which diagnostic test should the nurse anticipate the healthcare provider will order?

Correct Answer is C

Explanation

A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.The nurse who is providing genetic counseling should take which of the following actions?

Correct Answer is B

Explanation

A nurse is educating a group of pregnant women about neural tube defects.Which of the following conditions should the nurse mention as an example of a neural tube defect?

A client’s prenatal laboratory findings reveal no immunity to rubella.The health care provider orders the rubella vaccine.The nurse concludes that teaching about this medication is effective when the client states which of the following?

A nurse is caring for a patient with diabetes and plans to administer regular insulin subcutaneously before breakfast at 0800.After checking the patient’s morning glucose level, what action should the nurse take?

In the context of caring for a patient diagnosed with Crohn’s disease, which nursing assessment should be prioritized?

A nurse is instructing a male patient on how to perform a testicular self-examination.Which piece of information should the nurse include in the teaching?

The nurse is educating a female client about the onset of menopause and the resulting atrophy of the vulvar organs.The nurse should recognize that the major cause for these symptoms is related to which of the following?

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